Individual
CARLY MIYA JESPERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 E LEWELLING BLVD, ASHLAND, CA 94580-1732
(510) 317-3000
Mailing address
15510 USHER ST, ASHLAND, CA 94580-1641
(510) 317-4600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
RPE20837
CA
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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